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NPI Code Detail

MEDICARE: KAYLEE LYNAE CONNER APRN

MEDICARE: KAYLEE LYNAE CONNER APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN336240GA
2363LF0000XFamily Nurse Practitioner82013KS

General Provider Information

NPI Number : 1881394500
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEE LYNAE CONNER APRN
Provider Business Mailing Address
First Line : 212 E DERBY HILLS DR
Second Line :
City : DERBY
State : KS
Zip : 67037-3057
Country : US
Telephone Number : 417-291-3138
Fax Number :
Provider Business Practice Location Address
First Line : 700 W CENTRAL AVE STE 206
Second Line :
City : EL DORADO
State : KS
Zip : 67042-2186
Country : US
Telephone Number : 316-452-1568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2023
Last Update Date : 05/04/2026

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Directions to “ KAYLEE LYNAE CONNER APRN” Practice Location

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